| NPI | 1891376208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN258767) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: GA RN258767) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-03-01 |